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High IQ thread, do you have some kind of bio engineering backround or smth?
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You should get genioplasty.im a good candidat for that whole midd/lower face advencement with the nose included ?
lefort 1 + implant or modified lefort 2 ?
Idk about that bro, I’ve noticed when you can see both eyebrows from the side the face looks less “flat” which might fool the untrained eyeIt proves the point more because the projection looks even less when the head is turned.
Nose filler - just give up before doing something so dumb.Can't a graft rhino or even nose filler accomplish the same thing and allow one to get more conventional surgeries? I'd also assume that without a forwrad grown browridge a projected nasion would look uncanny.
Of course i should, but i feel my whole face lack of depth ( especially the the midd face/nose), im asking because i could be wrong tooYou should get genioplasty.
He has connection to top Cambodian surgeons who do bamboo implants (mogs peek)@RealSurgerymax do you do PEEK jaw implants?
Also i have a question the implant coulent replace a lefort 2 the advancement of the nose in the lefort 2 cant be faked by implant no ?Facial Depth is basically a refined version Forward Growth theory. While some people might say water is wet, this updated theory explains why many midface implant designs look fake and stuck-on, and why “Modified LeFort 3” (often abbreviated MLF3) has almost no chance of creating an extremely aesthetic face.
View attachment 2039450
View attachment 2039436
Here is how I separate and categorize facial depth.
Certain landmarks are constant and can’t be changed like the external auditory meatus, tragus, anterior/posterior positioning of the eyes, neck and to some extent the hyoid bone. These are the constant reference marks. Everything else can be moved forward with the properly modified surgeries.
It’s my opinion that the most overlooked subcategory of facial depth is anterior facial depth which is projection or retrusion in the LeFort 2 region. It’s probably the area which sets apart average people from beautiful people the most.
Anterior Facial Depth
(The projection of the central midface off the posterior midface and is enhanced through LeFort 2 Osteotomy)
View attachment 2039438
View attachment 2039439
Posterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
View attachment 2039443
View attachment 2039444
When all of the subcategories of facial depth are sufficiently projecting the face fits into a square shape:
View attachment 2039446
View attachment 2039447View attachment 2039448View attachment 2039449
Adding facial depth with a true LeFort II or III that goes up and over the nose can give a very powerful yet natural looking result. So-called ‘Modified’ LeFort 3 and LeFort 2 Osteotomies which leave out the nose and nasion can’t do this any better than custom implants can. Therefore it should never be utilized except in the implant-phobic.
View attachment 2039455
The main aesthetic problem with a non-syndrome LeFort II is the medial canthus is usually pulled too forward, off the eyeball. In the past this has required medial canthus setback procedure with a trans-nasal wire which is not natural appearing and only belongs in syndrome craniofacial surgery. However LeFort 2 can be modified to be in front of the medial canthus and lacrimal system as I did here:
View attachment 2039466
If you don’t want LeFort 2 or LeFort 3 I have found it possible to apply this concept to my implant designs after a LeFort 1 Osteotomy. How much depends on the advancement of the LF1. I have had success balancing faces after “over-advanced” bimaxes (LACOMS strikes again! Barcelona Line strikes again!) with specially designed custom implants.
View attachment 2039458
This is just one of many concepts that just about all custom implant designs & Orthognathic surgery plans never take into account, unless by accident. (Custom Implants are almost always designed by engineers at big companies who don’t know aesthetics. Meanwhile most surgeons don’t know 3D design engineering. It’s almost never the surgeon literally designing the implant - implants are just designed under their supervision/approval.)
That’s quite a bit of detail for a concept I have gatekept strictly for my own clients for about 2 years. More information about highly-modified Craniofacial surgery available on instagram @unicorn.CMF (professional page) and @Giant.Implants (educational meme page)
DeatchnicJfl accurate
View attachment 2041264
That isn't enough. I need my orbitals advanced to increase the distance between my ears and eyes. I also guess one would have to include part of the sphenoid to not mess with the musclesPosterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
View attachment 2039443
View attachment 2039444
Hes a surgeonHigh IQ thread, do you have some kind of bio engineering backround or smth?
Its been a while since I've seen u bro! Also your not forward grown or wide, most of that width is cause of weight.Make a thread about facial harmony please, I have enough forward growth and width but my facial features are hideously deformed due to not fitting together. No surgery can correct this, I desperately need a solution otherwise I will be roping with sodium nitrite.
Good riddanceMake a thread about facial harmony please, I have enough forward growth and width but my facial features are hideously deformed due to not fitting together. No surgery can correct this, I desperately need a solution otherwise I will be roping with sodium nitrite.
Why spend $50K on a car when you can spend $100 on a skateboard type reasoning.I know you hate bollards but if people are getting small but real results with a shitty facemask it's the way to go. It's also ten times cheaper and ten times less invasive. It might not work but it's still worth trying. You seem to disregard the idea all together.
There are several premises.
1) Orthos see results (albeit small) with a shitty facemask on CBCT scans
2) Bollards are proven to be vastly superior to a facemask https://www.pathlms.com/pcso/events/979/video_presentations/91348
3) If I can keep the sutures opened for a long time (large MSE movement) I could technically protract for many months
Custom plate le fort 1 + custom maxillary implants + custom implants near the orbital and nasion area would not only be insanely invasive but would likely cost like 100 thousand.
Just partners before FDA 510K phase.Will you open Unicorn CMF to private stock investors/IPO? I would more then gladly be an angel investor.
Do you really think there is no way in getting substantial forward growth with bollards? Mahony said he's gotten even more than 2mm in adult males with a crappy MSE+FM and he uses CBCT in each patient so unless he is lying that's some major stuff. Studies have shown that in kids bollards get like double the growth compared to hyrax+FM. I also think it could be possible to use a bollards & MSE+FM all at the same time. Coupled with IMDO for the lower you could then achieve 100% bone growth without any implants screws or plates.Why spend $50K on a car when you can spend $100 on a skateboard type reasoning.
Can I dm you for bimax advice?These are close enough and and still good facial depth to height ratio. But approaching 1:1 is still the ideal given the face isn’t short which my example is not.
View attachment 2040333View attachment 2040334View attachment 2040339
one of the examples you posted is one of the best examples of facial depth and you made the box longer than it should be
View attachment 2040353
Further the préexistant amount of facial depth or shallowness predicts how good of a LF1-level bimax result you can get
View attachment 2040354
Everyone knows this case because of how good a beforw and after it is by a Raffaini (some of it is puberty) but he is also the perfect bimax candidate since he has a deep face but also an extremely retruded face by SNA and ANB at the same time.
View attachment 2040359
People with shallow face like above will get bimax advancements with disappointing results like many cases on this forum last year.
View attachment 2040351View attachment 2040352 Not short faced.
Does Nicki Minaj have more depth than even BarrettFacial Depth is basically a refined version Forward Growth theory. While some people might say water is wet, this updated theory explains why many midface implant designs look fake and stuck-on, and why “Modified LeFort 3” (often abbreviated MLF3) has almost no chance of creating an extremely aesthetic face.
View attachment 2039450
View attachment 2039436
Here is how I separate and categorize facial depth.
Certain landmarks are constant and can’t be changed like the external auditory meatus, tragus, anterior/posterior positioning of the eyes, neck and to some extent the hyoid bone. These are the constant reference marks. Everything else can be moved forward with the properly modified surgeries.
It’s my opinion that the most overlooked subcategory of facial depth is anterior facial depth which is projection or retrusion in the LeFort 2 region. It’s probably the area which sets apart average people from beautiful people the most.
Anterior Facial Depth
(The projection of the central midface off the posterior midface and is enhanced through LeFort 2 Osteotomy)
View attachment 2039438
View attachment 2039439
Posterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
View attachment 2039443
View attachment 2039444
When all of the subcategories of facial depth are sufficiently projecting the face fits into a square shape:
View attachment 2039446
View attachment 2039447View attachment 2039448View attachment 2039449
Adding facial depth with a true LeFort II or III that goes up and over the nose can give a very powerful yet natural looking result. So-called ‘Modified’ LeFort 3 and LeFort 2 Osteotomies which leave out the nose and nasion can’t do this any better than custom implants can. Therefore it should never be utilized except in the implant-phobic.
View attachment 2039455
The main aesthetic problem with a non-syndrome LeFort II is the medial canthus is usually pulled too forward, off the eyeball. In the past this has required medial canthus setback procedure with a trans-nasal wire which is not natural appearing and only belongs in syndrome craniofacial surgery. However LeFort 2 can be modified to be in front of the medial canthus and lacrimal system as I did here:
View attachment 2039466
If you don’t want LeFort 2 or LeFort 3 I have found it possible to apply this concept to my implant designs after a LeFort 1 Osteotomy. How much depends on the advancement of the LF1. I have had success balancing faces after “over-advanced” bimaxes (LACOMS strikes again! Barcelona Line strikes again!) with specially designed custom implants.
View attachment 2039458
This is just one of many concepts that just about all custom implant designs & Orthognathic surgery plans never take into account, unless by accident. (Custom Implants are almost always designed by engineers at big companies who don’t know aesthetics. Meanwhile most surgeons don’t know 3D design engineering. It’s almost never the surgeon literally designing the implant - implants are just designed under their supervision/approval.)
That’s quite a bit of detail for a concept I have gatekept strictly for my own clients for about 2 years. More information about highly-modified Craniofacial surgery available on instagram @unicorn.CMF (professional page) and @Giant.Implants (educational meme page)
does Nicki Minaj have even more depth than barrettFacial Depth is basically a refined version Forward Growth theory. While some people might say water is wet, this updated theory explains why many midface implant designs look fake and stuck-on, and why “Modified LeFort 3” (often abbreviated MLF3) has almost no chance of creating an extremely aesthetic face.
View attachment 2039450
View attachment 2039436
Here is how I separate and categorize facial depth.
Certain landmarks are constant and can’t be changed like the external auditory meatus, tragus, anterior/posterior positioning of the eyes, neck and to some extent the hyoid bone. These are the constant reference marks. Everything else can be moved forward with the properly modified surgeries.
It’s my opinion that the most overlooked subcategory of facial depth is anterior facial depth which is projection or retrusion in the LeFort 2 region. It’s probably the area which sets apart average people from beautiful people the most.
Anterior Facial Depth
(The projection of the central midface off the posterior midface and is enhanced through LeFort 2 Osteotomy)
View attachment 2039438
View attachment 2039439
Posterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
View attachment 2039443
View attachment 2039444
When all of the subcategories of facial depth are sufficiently projecting the face fits into a square shape:
View attachment 2039446
View attachment 2039447View attachment 2039448View attachment 2039449
Adding facial depth with a true LeFort II or III that goes up and over the nose can give a very powerful yet natural looking result. So-called ‘Modified’ LeFort 3 and LeFort 2 Osteotomies which leave out the nose and nasion can’t do this any better than custom implants can. Therefore it should never be utilized except in the implant-phobic.
View attachment 2039455
The main aesthetic problem with a non-syndrome LeFort II is the medial canthus is usually pulled too forward, off the eyeball. In the past this has required medial canthus setback procedure with a trans-nasal wire which is not natural appearing and only belongs in syndrome craniofacial surgery. However LeFort 2 can be modified to be in front of the medial canthus and lacrimal system as I did here:
View attachment 2039466
If you don’t want LeFort 2 or LeFort 3 I have found it possible to apply this concept to my implant designs after a LeFort 1 Osteotomy. How much depends on the advancement of the LF1. I have had success balancing faces after “over-advanced” bimaxes (LACOMS strikes again! Barcelona Line strikes again!) with specially designed custom implants.
View attachment 2039458
This is just one of many concepts that just about all custom implant designs & Orthognathic surgery plans never take into account, unless by accident. (Custom Implants are almost always designed by engineers at big companies who don’t know aesthetics. Meanwhile most surgeons don’t know 3D design engineering. It’s almost never the surgeon literally designing the implant - implants are just designed under their supervision/approval.)
That’s quite a bit of detail for a concept I have gatekept strictly for my own clients for about 2 years. More information about highly-modified Craniofacial surgery available on instagram @unicorn.CMF (professional page) and @Giant.Implants (educational meme page)
Fuck man please make more posts like this or link other sources on it there’s like nothing on thisFacial Depth is basically a refined version Forward Growth theory. While some people might say water is wet, this updated theory explains why many midface implant designs look fake and stuck-on, and why “Modified LeFort 3” (often abbreviated MLF3) has almost no chance of creating an extremely aesthetic face.
View attachment 2039450
View attachment 2039436
Here is how I separate and categorize facial depth.
Certain landmarks are constant and can’t be changed like the external auditory meatus, tragus, anterior/posterior positioning of the eyes, neck and to some extent the hyoid bone. These are the constant reference marks. Everything else can be moved forward with the properly modified surgeries.
It’s my opinion that the most overlooked subcategory of facial depth is anterior facial depth which is projection or retrusion in the LeFort 2 region. It’s probably the area which sets apart average people from beautiful people the most.
Anterior Facial Depth
(The projection of the central midface off the posterior midface and is enhanced through LeFort 2 Osteotomy)
View attachment 2039438
View attachment 2039439
Posterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
View attachment 2039443
View attachment 2039444
When all of the subcategories of facial depth are sufficiently projecting the face fits into a square shape:
View attachment 2039446
View attachment 2039447View attachment 2039448View attachment 2039449
Adding facial depth with a true LeFort II or III that goes up and over the nose can give a very powerful yet natural looking result. So-called ‘Modified’ LeFort 3 and LeFort 2 Osteotomies which leave out the nose and nasion can’t do this any better than custom implants can. Therefore it should never be utilized except in the implant-phobic.
View attachment 2039455
The main aesthetic problem with a non-syndrome LeFort II is the medial canthus is usually pulled too forward, off the eyeball. In the past this has required medial canthus setback procedure with a trans-nasal wire which is not natural appearing and only belongs in syndrome craniofacial surgery. However LeFort 2 can be modified to be in front of the medial canthus and lacrimal system as I did here:
View attachment 2039466
If you don’t want LeFort 2 or LeFort 3 I have found it possible to apply this concept to my implant designs after a LeFort 1 Osteotomy. How much depends on the advancement of the LF1. I have had success balancing faces after “over-advanced” bimaxes (LACOMS strikes again! Barcelona Line strikes again!) with specially designed custom implants.
View attachment 2039458
This is just one of many concepts that just about all custom implant designs & Orthognathic surgery plans never take into account, unless by accident. (Custom Implants are almost always designed by engineers at big companies who don’t know aesthetics. Meanwhile most surgeons don’t know 3D design engineering. It’s almost never the surgeon literally designing the implant - implants are just designed under their supervision/approval.)
That’s quite a bit of detail for a concept I have gatekept strictly for my own clients for about 2 years. More information about highly-modified Craniofacial surgery available on instagram @unicorn.CMF (professional page) and @Giant.Implants (educational meme page)
There is prob no solution, no surgery will give you more midface after you’re done with development lolGenuinely good thread. Says everything I’ve known forever in a succinct way.
My problem: wtf is my solution realistically. My forehead is too far back. The whole face. It’s skull/head at this point, not even jaws or face.
I’ve also noticed it means losing less hair weirdly, because the skull isn’t as long, meaning hair recession isn’t as bad I think.
Wait you mean no surgery can advance the mid face? Isn’t that exactly what upper jaw surgery can do?There is prob no solution, no surgery will give you more midface after you’re done with development lol
You on YouTube?Facial Depth is basically a refined version Forward Growth theory. While some people might say water is wet, this updated theory explains why many midface implant designs look fake and stuck-on, and why “Modified LeFort 3” (often abbreviated MLF3) has almost no chance of creating an extremely aesthetic face.
View attachment 2039450
View attachment 2039436
Here is how I separate and categorize facial depth.
Certain landmarks are constant and can’t be changed like the external auditory meatus, tragus, anterior/posterior positioning of the eyes, neck and to some extent the hyoid bone. These are the constant reference marks. Everything else can be moved forward with the properly modified surgeries.
It’s my opinion that the most overlooked subcategory of facial depth is anterior facial depth which is projection or retrusion in the LeFort 2 region. It’s probably the area which sets apart average people from beautiful people the most.
Anterior Facial Depth
(The projection of the central midface off the posterior midface and is enhanced through LeFort 2 Osteotomy)
View attachment 2039438
View attachment 2039439
Posterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
View attachment 2039443
View attachment 2039444
When all of the subcategories of facial depth are sufficiently projecting the face fits into a square shape:
View attachment 2039446
View attachment 2039447View attachment 2039448View attachment 2039449
Adding facial depth with a true LeFort II or III that goes up and over the nose can give a very powerful yet natural looking result. So-called ‘Modified’ LeFort 3 and LeFort 2 Osteotomies which leave out the nose and nasion can’t do this any better than custom implants can. Therefore it should never be utilized except in the implant-phobic.
View attachment 2039455
The main aesthetic problem with a non-syndrome LeFort II is the medial canthus is usually pulled too forward, off the eyeball. In the past this has required medial canthus setback procedure with a trans-nasal wire which is not natural appearing and only belongs in syndrome craniofacial surgery. However LeFort 2 can be modified to be in front of the medial canthus and lacrimal system as I did here:
View attachment 2039466
If you don’t want LeFort 2 or LeFort 3 I have found it possible to apply this concept to my implant designs after a LeFort 1 Osteotomy. How much depends on the advancement of the LF1. I have had success balancing faces after “over-advanced” bimaxes (LACOMS strikes again! Barcelona Line strikes again!) with specially designed custom implants.
View attachment 2039458
This is just one of many concepts that just about all custom implant designs & Orthognathic surgery plans never take into account, unless by accident. (Custom Implants are almost always designed by engineers at big companies who don’t know aesthetics. Meanwhile most surgeons don’t know 3D design engineering. It’s almost never the surgeon literally designing the implant - implants are just designed under their supervision/approval.)
That’s quite a bit of detail for a concept I have gatekept strictly for my own clients for about 2 years. More information about highly-modified Craniofacial surgery available on instagram @unicorn.CMF (professional page) and @Giant.Implants (educational meme page)
The guy on the left is facing towards the camera whilst the guy on the right is facing away. I think this theory does not take camera angles into account.
No, the guy on the left has his head turned slightly (can see his other eyebrow) and the guy on the right is looking at it head-on. This only proves the point even more.
RSM out of everything you said, this is the only thing I don't agree withThis is a classic oldie picture if you don’t like it you can consult the several other pictures I posted.
It proves the point more because the projection looks even less when the head is turned.
The Square test is failing because diff camera angles weren't taken into consideration.The square test is terrible
View attachment 2040287View attachment 2040274View attachment 2040275
that guy in the example has a vertically short face probably looks like a neotenous baby from the front
Wait a sec I used the wrong Chico profile pic in that msg.RSM out of everything you said, this is the only thing I don't agree with
I'm not playing gotcha w u. You're the expert.
I honestly want to know why u think that's true cos its totally wrong.
The percieved facial depth actually increases the more the head is angled towards the camera.
On the other hand, the perceived depth decreases when the face is angled away from the camera
This is a common frauding technique actually.
Take a look at these meeks pictures for
Ex.
View attachment 2315210
In this picture he has more perceived browridge forward growth and facial depth cos his head is angled towards the camera.
That is because the lateral supras on the other side of the face that is not facing the camera is exposed, therefore increasing perceived supra forward growth.
It's the same principle with facial depth.
Ex. 2
View attachment 2315211
While in this pic he has less perceived forward growth and facial depth cos his head is angled/turned away from the camera.
Side by side:
View attachment 2315213View attachment 2315214
Another set of examples:
View attachment 2315249View attachment 2315253
But even still, the second Cavill pic is still not a perfect profile pic cos the camera is angled from below and from the front instead of being dead center from the side at head level.
View attachment 2315217
This is a bad example cos Cox's head is significantly angled towards the camera and by doing so increases his perceived supra and facial depth while the other dude's head is angled away from the camera.
View attachment 2315218View attachment 2315232
Hence why some retards here use these pics to argue that Opry and Chico are recessed even tho their heads are angled/turned away from the camera in these photos. Not to mention they're both tilting their heads down.
Again I'm not playing gotcha w u or make it seem like I'm smarter or some shit like that.
Its just that the results would be inaccurate if you're using pics of models where their heads are angled/turned towards the camera for implant design model reference and surgery planning because those pics wouldn't represent their actual supraorbital and facial depth at all.
Same concern w using pics of models where their head are instead angled/turned away from the camera.
The ideal head angle in profile photo is when the glabella is barely or not exposed at all and the camera should be dead center from the side.
Like these ones:
View attachment 2315236View attachment 2315237View attachment 2315240View attachment 2315242View attachment 2315245
The Square test is failing because diff camera angles weren't taken into consideration.
@NegativeNorwood
@RealSurgerymax
@StrangerDanger
What is it about faces with this that are so beautiful? Like why does nature make us see these faces in that way?Facial Depth is basically a refined version Forward Growth theory. While some people might say water is wet, this updated theory explains why many midface implant designs look fake and stuck-on, and why “Modified LeFort 3” (often abbreviated MLF3) has almost no chance of creating an extremely aesthetic face.
View attachment 2039450
View attachment 2039436
Here is how I separate and categorize facial depth.
Certain landmarks are constant and can’t be changed like the external auditory meatus, tragus, anterior/posterior positioning of the eyes, neck and to some extent the hyoid bone. These are the constant reference marks. Everything else can be moved forward with the properly modified surgeries.
It’s my opinion that the most overlooked subcategory of facial depth is anterior facial depth which is projection or retrusion in the LeFort 2 region. It’s probably the area which sets apart average people from beautiful people the most.
Anterior Facial Depth
(The projection of the central midface off the posterior midface and is enhanced through LeFort 2 Osteotomy)
View attachment 2039438
View attachment 2039439
Posterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
View attachment 2039443
View attachment 2039444
When all of the subcategories of facial depth are sufficiently projecting the face fits into a square shape:
View attachment 2039446
View attachment 2039447View attachment 2039448View attachment 2039449
Adding facial depth with a true LeFort II or III that goes up and over the nose can give a very powerful yet natural looking result. So-called ‘Modified’ LeFort 3 and LeFort 2 Osteotomies which leave out the nose and nasion can’t do this any better than custom implants can. Therefore it should never be utilized except in the implant-phobic.
View attachment 2039455
The main aesthetic problem with a non-syndrome LeFort II is the medial canthus is usually pulled too forward, off the eyeball. In the past this has required medial canthus setback procedure with a trans-nasal wire which is not natural appearing and only belongs in syndrome craniofacial surgery. However LeFort 2 can be modified to be in front of the medial canthus and lacrimal system as I did here:
View attachment 2039466
If you don’t want LeFort 2 or LeFort 3 I have found it possible to apply this concept to my implant designs after a LeFort 1 Osteotomy. How much depends on the advancement of the LF1. I have had success balancing faces after “over-advanced” bimaxes (LACOMS strikes again! Barcelona Line strikes again!) with specially designed custom implants.
View attachment 2039458
This is just one of many concepts that just about all custom implant designs & Orthognathic surgery plans never take into account, unless by accident. (Custom Implants are almost always designed by engineers at big companies who don’t know aesthetics. Meanwhile most surgeons don’t know 3D design engineering. It’s almost never the surgeon literally designing the implant - implants are just designed under their supervision/approval.)
That’s quite a bit of detail for a concept I have gatekept strictly for my own clients for about 2 years. More information about highly-modified Craniofacial surgery available on instagram @unicorn.CMF (professional page) and @Giant.Implants (educational meme page)
Wait a sec I used the wrong Chico profile pic in that msg.
These two pics are closer to the ideal.
View attachment 2315426View attachment 2315445
Another example.
Observe how the depth of his supras, nasion and face lessens as he gradually turns his face away from the camera
View attachment 2315437View attachment 2315438View attachment 2315439View attachment 2315444
@NegativeNorwood
@RealSurgerymax
Where does cheekbones or zygos fit into this because they also account for beauty tooFacial Depth is basically a refined version Forward Growth theory. While some people might say water is wet, this updated theory explains why many midface implant designs look fake and stuck-on, and why “Modified LeFort 3” (often abbreviated MLF3) has almost no chance of creating an extremely aesthetic face.
View attachment 2039450
View attachment 2039436
Here is how I separate and categorize facial depth.
Certain landmarks are constant and can’t be changed like the external auditory meatus, tragus, anterior/posterior positioning of the eyes, neck and to some extent the hyoid bone. These are the constant reference marks. Everything else can be moved forward with the properly modified surgeries.
It’s my opinion that the most overlooked subcategory of facial depth is anterior facial depth which is projection or retrusion in the LeFort 2 region. It’s probably the area which sets apart average people from beautiful people the most.
Anterior Facial Depth
(The projection of the central midface off the posterior midface and is enhanced through LeFort 2 Osteotomy)
View attachment 2039438
View attachment 2039439
Posterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
View attachment 2039443
View attachment 2039444
When all of the subcategories of facial depth are sufficiently projecting the face fits into a square shape:
View attachment 2039446
View attachment 2039447View attachment 2039448View attachment 2039449
Adding facial depth with a true LeFort II or III that goes up and over the nose can give a very powerful yet natural looking result. So-called ‘Modified’ LeFort 3 and LeFort 2 Osteotomies which leave out the nose and nasion can’t do this any better than custom implants can. Therefore it should never be utilized except in the implant-phobic.
View attachment 2039455
The main aesthetic problem with a non-syndrome LeFort II is the medial canthus is usually pulled too forward, off the eyeball. In the past this has required medial canthus setback procedure with a trans-nasal wire which is not natural appearing and only belongs in syndrome craniofacial surgery. However LeFort 2 can be modified to be in front of the medial canthus and lacrimal system as I did here:
View attachment 2039466
If you don’t want LeFort 2 or LeFort 3 I have found it possible to apply this concept to my implant designs after a LeFort 1 Osteotomy. How much depends on the advancement of the LF1. I have had success balancing faces after “over-advanced” bimaxes (LACOMS strikes again! Barcelona Line strikes again!) with specially designed custom implants.
View attachment 2039458
This is just one of many concepts that just about all custom implant designs & Orthognathic surgery plans never take into account, unless by accident. (Custom Implants are almost always designed by engineers at big companies who don’t know aesthetics. Meanwhile most surgeons don’t know 3D design engineering. It’s almost never the surgeon literally designing the implant - implants are just designed under their supervision/approval.)
That’s quite a bit of detail for a concept I have gatekept strictly for my own clients for about 2 years. More information about highly-modified Craniofacial surgery available on instagram @unicorn.CMF (professional page) and @Giant.Implants (educational meme page)
Make another post like this plsFacial Depth is basically a refined version Forward Growth theory. While some people might say water is wet, this updated theory explains why many midface implant designs look fake and stuck-on, and why “Modified LeFort 3” (often abbreviated MLF3) has almost no chance of creating an extremely aesthetic face.
View attachment 2039450
View attachment 2039436
Here is how I separate and categorize facial depth.
Certain landmarks are constant and can’t be changed like the external auditory meatus, tragus, anterior/posterior positioning of the eyes, neck and to some extent the hyoid bone. These are the constant reference marks. Everything else can be moved forward with the properly modified surgeries.
It’s my opinion that the most overlooked subcategory of facial depth is anterior facial depth which is projection or retrusion in the LeFort 2 region. It’s probably the area which sets apart average people from beautiful people the most.
Anterior Facial Depth
(The projection of the central midface off the posterior midface and is enhanced through LeFort 2 Osteotomy)
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Posterior Facial Depth
The projection of the entire face as a unit from the rest of the skull and corrected by a LeFort 3 Advancement or implants informed by the LeFort 3 Concept.
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When all of the subcategories of facial depth are sufficiently projecting the face fits into a square shape:
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Adding facial depth with a true LeFort II or III that goes up and over the nose can give a very powerful yet natural looking result. So-called ‘Modified’ LeFort 3 and LeFort 2 Osteotomies which leave out the nose and nasion can’t do this any better than custom implants can. Therefore it should never be utilized except in the implant-phobic.
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The main aesthetic problem with a non-syndrome LeFort II is the medial canthus is usually pulled too forward, off the eyeball. In the past this has required medial canthus setback procedure with a trans-nasal wire which is not natural appearing and only belongs in syndrome craniofacial surgery. However LeFort 2 can be modified to be in front of the medial canthus and lacrimal system as I did here:
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If you don’t want LeFort 2 or LeFort 3 I have found it possible to apply this concept to my implant designs after a LeFort 1 Osteotomy. How much depends on the advancement of the LF1. I have had success balancing faces after “over-advanced” bimaxes (LACOMS strikes again! Barcelona Line strikes again!) with specially designed custom implants.
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This is just one of many concepts that just about all custom implant designs & Orthognathic surgery plans never take into account, unless by accident. (Custom Implants are almost always designed by engineers at big companies who don’t know aesthetics. Meanwhile most surgeons don’t know 3D design engineering. It’s almost never the surgeon literally designing the implant - implants are just designed under their supervision/approval.)
That’s quite a bit of detail for a concept I have gatekept strictly for my own clients for about 2 years. More information about highly-modified Craniofacial surgery available on instagram @unicorn.CMF (professional page) and @Giant.Implants (educational meme page)
Even Henry Cavill got a ratio like FH / FW ==> 0,79~074
I think this ratio is extreme as hell. @RealSurgerymax
Sorry to disappoint, but i’m not knowledgeable on this.@SurgeryEnjoyer review this